Karl Oyvind Bandlien, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301046832 Issued in MI

Practice address

39763 W Huron River Dr
Romulus, MI 48174-4807

Phone

(734) 467-8565

Fax

(734) 467-8548

NPI assigned

Aug 22, 2006

Last updated

Mar 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Emergency Medicine, General Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

365 Health Care Group PLCGroup PAC ID 6305186685, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karl.bandlien.1@24172.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 365 Health Care Group PLC

  • Surgery Physician
  • Troy, MI
  • NPI 1750855086
  Medicare reassignment Care Compare group NPD
• Alexander Malayev MD PC

  dba United Care Team I

  • Multi-Specialty Clinic/Center
  • Clawson, MI
  • NPI 1861400095

  Surgery

  Medicare reassignment NPD
• Inpatient Care Specialists PLLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1649952383
  Medicare reassignment NPD
• Khalid Rao MD PC

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1538337928
  Medicare reassignment NPD
• Traveling Medical Services PC

  • Physician Assistant
  • Allen Park, MI
  • NPI 1831167972
  Medicare reassignment NPD
• Karl O. Bandlien, MD

  • Surgery Physician
  • Westland, MI
  • NPI 1669660189
  Authorized official Same address or phone
• Mary E Barna DPM & Associates PC

  • Podiatrist
  • Allen Park, MI
  • NPI 1598730962
  NPD (past)
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1831205517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33000 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865517",
            "telephone_number": "734-467-8565",
            "fax_number": "734-467-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39763 W HURON RIVER DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481744807",
            "telephone_number": "734-467-8565",
            "fax_number": "734-467-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDLIEN",
        "first_name": "KARL",
        "middle_name": "OYVIND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301046832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754287",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MICHIGAN",
            "identifier": "0820397",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Attitude Recovery Center
• Evangeline Ndirika Atukosi, FNP
• Baby Steps Maternal and Infant Health Program LLC
• Najai R Baker
• Kaysha-Lynn Baldwin
• Genona Mihaela Barnes
• Kevin A. Barnes
• Sonia Baydoun
• Miracle Baynes
• Beautiful Mind Family Counseling Services, LLC

• Surgery Physician in Romulus, MI
• Providers in Romulus, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.